A Model to Transform Psychosis Milieu Treatment Using CBT-Informed Interventions

•CBT for psychosis is a best practice, evidence-based therapy rarely available in the U.S. due to lack of training.•We describe an evidence-based model of dissemination that has been used to train community mental health workers in CBT.•We describe how this model of dissemination can be effectively applied to milieu settings.•We describe two example programs in which this training model has been implemented and how it worked.

Although CBT for psychosis (CBTp) has been recommended as a best practice since 2002, CBTp's availability is quite limited in the U.S. Integration of CBTp-informed interventions into the milieu of the treatment settings in which the majority of the 2.4 million Americans with psychosis receive treatment may greatly improve access to those services. This paper presents an evidence-based model for training line staff in CBTp principles, in order that more staff throughout the U.S. might better support the recovery of people with psychosis in this way. Examples are provided to illustrate effective strategies and approaches.